Ohio 136th General Assembly Status: Passed Senate 1 R cosponsors

SB 149 — Enter into the Respiratory Care Interstate Compact

Last action — Introduced

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Senate. Introduced March 18, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 32% · moderate confidence

  • Passed Senate

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Mixed recorded votes

    2 passed, 1 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill establishes participation in the Respiratory Care Interstate Compact.

This legislation allows the state to join the Respiratory Care Interstate Compact, which facilitates the practice of respiratory care across state lines. This compact aims to improve access to respiratory care services.

What this means for you
  • Healthcare: Healthcare providers will be able to practice in multiple states more easily, improving service accessibility.

Summary

To enact sections 4761.20 and 4761.21 of the Revised Code to enter into the Respiratory Care Interstate Compact.

Bill Text

What changed in the latest version

39 added · 38 removed

Plain-language change summary

The main change in Bill SB 149 is the transition from the Senate Health Committee's report to the final Senate version of the bill. This update adds a number of cosponsors, showcasing increased support among senators for the legislation. This change is important because it indicates a broader consensus and potential for successful passage of the bill, which may impact its implementation and provisions.

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Previous
Latest
As Reported by the Senate Health Committee 136th General Assembly Regular Session Am.
As Passed by the Senate 136th General Assembly Regular Session Am.
Senators Huffman, Romanchuk A BILL To enact sections 4761.20, 4761.21, and 4761.22 of 1 the Revised Code to enter into the Respiratory 2 Care Interstate Compact.
Senators Huffman, Romanchuk, Cirino, DeMora, Gavarone, Hicks- Hudson, Lang, O'Brien, Patton, Reineke, Reynolds A BILL To enact sections 4761.20, 4761.21, and 4761.22 of 1 the Revised Code to enter into the Respiratory 2 Care Interstate Compact.
The Compact 16 preserves the regulatory authority of states to protect public 17 Am.
The Compact 16 Am.
149 Page 2 As Reported by the Senate Health Committee health and safety through the current system of State licensure.
149 Page 2 As Passed by the Senate preserves the regulatory authority of states to protect public 17 health and safety through the current system of State licensure.
"Adverse Action" means any administrative, civil, 41 equitable, or criminal action permitted by a State's laws which 42 is imposed by any State authority with regulatory authority over 43 Respiratory Therapists, such as license denial, censure, 44 Am.
"Adverse Action" means any administrative, civil, 41 equitable, or criminal action permitted by a State's laws which 42 is imposed by any State authority with regulatory authority over 43 Am.
149 Page 3 As Reported by the Senate Health Committee revocation, suspension, probation, monitoring of the Licensee, 45 or restriction on the Licensee's practice, not including 46 participation in an Alternative Program.
149 Page 3 As Passed by the Senate Respiratory Therapists, such as license denial, censure, 44 revocation, suspension, probation, monitoring of the Licensee, 45 or restriction on the Licensee's practice, not including 46 participation in an Alternative Program.
72 I.
72 Am.
"Criminal Background Check" means the submission by the 73 Am.
149 Page 4 As Reported by the Senate Health Committee Member State of fingerprints or other biometric-based 74 information on license applicants at the time of initial 75 licensing for the purpose of obtaining that applicant's criminal 76 history record information, as defined in 28 C.F.R.
149 Page 4 As Passed by the Senate I.
"Criminal Background Check" means the submission by the 73 Member State of fingerprints or other biometric-based 74 information on license applicants at the time of initial 75 licensing for the purpose of obtaining that applicant's criminal 76 history record information, as defined in 28 C.F.R.
100 R.
100 Am.
"Member State" means a State that has enacted the 101 Am.
149 Page 5 As Reported by the Senate Health Committee Compact and been admitted to the Commission in accordance with 102 the provisions herein and Commission Rules.
149 Page 5 As Passed by the Senate R.
"Member State" means a State that has enacted the 101 Compact and been admitted to the Commission in accordance with 102 the provisions herein and Commission Rules.
129 Y.
129 Am.
"Scope of Practice" means the procedures, actions, and 130 Am.
149 Page 6 As Reported by the Senate Health Committee processes a Respiratory Therapist licensed in a State or 131 practicing under a Compact Privilege in a State is permitted to 132 undertake in that State and the circumstances under which the 133 Respiratory Therapist is permitted to undertake those 134 procedures, actions, and processes.
149 Page 6 As Passed by the Senate Y.
"Scope of Practice" means the procedures, actions, and 130 processes a Respiratory Therapist licensed in a State or 131 practicing under a Compact Privilege in a State is permitted to 132 undertake in that State and the circumstances under which the 133 Respiratory Therapist is permitted to undertake those 134 procedures, actions, and processes.
157 4.
157 Am.
Have a mechanism in place for receiving and 158 Am.
149 Page 7 As Reported by the Senate Health Committee investigating complaints against Licensees and Compact Privilege 159 holders;
149 Page 7 As Passed by the Senate 4.
Have a mechanism in place for receiving and 158 investigating complaints against Licensees and Compact Privilege 159 holders;
COMPACT PRIVILEGE 185 A.
COMPACT PRIVILEGE 185 Am.
To exercise the Compact Privilege under the terms and 186 Am.
149 Page 8 As Reported by the Senate Health Committee provisions of the Compact, the Licensee shall:
149 Page 8 As Passed by the Senate A.
To exercise the Compact Privilege under the terms and 186 provisions of the Compact, the Licensee shall:
Consent to accept service of process by mail at the 211 Licensee's Domicile on record with the Commission with respect 212 to any action brought against the Licensee by the Commission or 213 a Member State, and consent to accept service of a subpoena by 214 Am.
Consent to accept service of process by mail at the 211 Licensee's Domicile on record with the Commission with respect 212 to any action brought against the Licensee by the Commission or 213 Am.
149 Page 9 As Reported by the Senate Health Committee mail at the Licensee's Domicile on record with the Commission 215 with respect to any action brought or investigation conducted by 216 the Commission or a Member State.
149 Page 9 As Passed by the Senate a Member State, and consent to accept service of a subpoena by 214 mail at the Licensee's Domicile on record with the Commission 215 with respect to any action brought or investigation conducted by 216 the Commission or a Member State.
242 1.
242 Am.
The Home State License is no longer encumbered;
and 243 Am.
149 Page 10 As Reported by the Senate Health Committee 2.
149 Page 10 As Passed by the Senate 1.
The Home State License is no longer encumbered;
and 243 2.
Nothing in this Compact shall override a Member State's 270 decision that participation in an Alternative Program may be 271 Am.
Nothing in this Compact shall override a Member State's 270 Am.
149 Page 11 As Reported by the Senate Health Committee used in lieu of Adverse Action and that such participation shall 272 remain non-public if required by the Member State's laws.
149 Page 11 As Passed by the Senate decision that participation in an Alternative Program may be 271 used in lieu of Adverse Action and that such participation shall 272 remain non-public if required by the Member State's laws.
Unless otherwise prohibited by State law, recover from 298 the Licensee the costs of investigations and disposition of 299 Am.
Unless otherwise prohibited by State law, recover from 298 Am.
149 Page 12 As Reported by the Senate Health Committee cases resulting from any Adverse Action taken against that 300 Licensee;
149 Page 12 As Passed by the Senate the Licensee the costs of investigations and disposition of 299 cases resulting from any Adverse Action taken against that 300 Licensee;
327 F.
327 Am.
Nothing in this Compact may permit a Member State to 328 Am.
Show all 118 changed rows (78 more)
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149 Page 13 As Reported by the Senate Health Committee take any Adverse Action against a Licensee or holder of a 329 Compact Privilege for conduct or practice that was legal in the 330 Member State at the time it was undertaken.
149 Page 13 As Passed by the Senate F.
Nothing in this Compact may permit a Member State to 328 take any Adverse Action against a Licensee or holder of a 329 Compact Privilege for conduct or practice that was legal in the 330 Member State at the time it was undertaken.
355 4.
355 Am.
The Commission may recommend to a Member State the 356 Am.
149 Page 14 As Reported by the Senate Health Committee removal or suspension any Commissioner from office.
149 Page 14 As Passed by the Senate 4.
The Commission may recommend to a Member State the 356 removal or suspension any Commissioner from office.
Initiate and conduct legal proceedings or actions in 381 the name of the Commission, provided that the standing of any 382 Respiratory Therapy Licensing Authority to sue or be sued under 383 Am.
Initiate and conduct legal proceedings or actions in 381 the name of the Commission, provided that the standing of any 382 Am.
149 Page 15 As Reported by the Senate Health Committee applicable law shall not be affected;
149 Page 15 As Passed by the Senate Respiratory Therapy Licensing Authority to sue or be sued under 383 applicable law shall not be affected;
Lease, purchase, retain, own, hold, improve, or use 408 any property, real, personal, or mixed, or any undivided 409 interest therein;
Lease, purchase, retain, own, hold, improve, or use 408 any property, real, personal, or mixed, or any undivided 409 Am.
410 Am.
149 Page 16 As Reported by the Senate Health Committee 15.
149 Page 16 As Passed by the Senate interest therein;
410 15.
436 The powers, duties, and responsibilities of the Executive 437 Am.
436 Am.
149 Page 17 As Reported by the Senate Health Committee Committee shall include:
149 Page 17 As Passed by the Senate The powers, duties, and responsibilities of the Executive 437 Committee shall include:
The Executive Committee shall be composed of up to nine 462 (9) members, as further set forth in the bylaws of the 463 Commission:
The Executive Committee shall be composed of up to nine 462 (9) members, as further set forth in the bylaws of the 463 Am.
464 Am.
149 Page 18 As Reported by the Senate Health Committee a.
149 Page 18 As Passed by the Senate Commission:
464 a.
Notwithstanding subsection 7.F.1, the Commission may 487 convene an emergency public meeting by providing at least 488 twenty-four (24) hours prior notice on the Commission's website, 489 and any other means as provided in the Commission's Rules, for 490 any of the reasons it may dispense with notice of proposed 491 Am.
Notwithstanding subsection 7.F.1, the Commission may 487 convene an emergency public meeting by providing at least 488 twenty-four (24) hours prior notice on the Commission's website, 489 and any other means as provided in the Commission's Rules, for 490 Am.
149 Page 19 As Reported by the Senate Health Committee rulemaking under subsection 9.G.
149 Page 19 As Passed by the Senate any of the reasons it may dispense with notice of proposed 491 rulemaking under subsection 9.G.
517 h.
517 Am.
Information of a personal nature where disclosure would 518 Am.
149 Page 20 As Reported by the Senate Health Committee constitute a clearly unwarranted invasion of personal privacy;
149 Page 20 As Passed by the Senate h.
Information of a personal nature where disclosure would 518 constitute a clearly unwarranted invasion of personal privacy;
The Commission may accept any and all appropriate 544 revenue sources as provided herein.
The Commission may accept any and all appropriate 544 Am.
545 Am.
149 Page 21 As Reported by the Senate Health Committee 3.
149 Page 21 As Passed by the Senate revenue sources as provided herein.
545 3.
The Member States, Commissioners, officers, executive 571 directors, employees, and agents of the Commission shall be 572 immune from suit and liability, both personally and in their 573 official capacity, for any claim for damage to or loss of 574 Am.
The Member States, Commissioners, officers, executive 571 directors, employees, and agents of the Commission shall be 572 immune from suit and liability, both personally and in their 573 Am.
149 Page 22 As Reported by the Senate Health Committee property or personal injury or other civil liability caused by 575 or arising out of any actual or alleged act, error, or omission 576 that occurred, or that the person against whom the claim is made 577 had a reasonable basis for believing occurred within the scope 578 of Commission employment, duties or responsibilities;
149 Page 22 As Passed by the Senate official capacity, for any claim for damage to or loss of 574 property or personal injury or other civil liability caused by 575 or arising out of any actual or alleged act, error, or omission 576 that occurred, or that the person against whom the claim is made 577 had a reasonable basis for believing occurred within the scope 578 of Commission employment, duties or responsibilities;
The Commission shall indemnify and hold harmless any 599 Commissioner, member, officer, executive director, employee, and 600 agent of the Commission for the amount of any settlement or 601 judgment obtained against that person arising out of any actual 602 or alleged act, error, or omission that occurred within the 603 scope of Commission employment, duties, or responsibilities, or 604 that such person had a reasonable basis for believing occurred 605 Am.
The Commission shall indemnify and hold harmless any 599 Commissioner, member, officer, executive director, employee, and 600 agent of the Commission for the amount of any settlement or 601 judgment obtained against that person arising out of any actual 602 or alleged act, error, or omission that occurred within the 603 scope of Commission employment, duties, or responsibilities, or 604 Am.
149 Page 23 As Reported by the Senate Health Committee within the scope of Commission employment, duties, or 606 responsibilities, provided that the actual or alleged act, 607 error, or omission did not result from the intentional or 608 willful or wanton misconduct of that person.
149 Page 23 As Passed by the Senate that such person had a reasonable basis for believing occurred 605 within the scope of Commission employment, duties, or 606 responsibilities, provided that the actual or alleged act, 607 error, or omission did not result from the intentional or 608 willful or wanton misconduct of that person.
Non-confidential information related to Alternative 632 Program participation, the beginning and ending dates of such 633 Am.
Non-confidential information related to Alternative 632 Am.
149 Page 24 As Reported by the Senate Health Committee participation, and other information related to such 634 participation not made confidential under Member State law;
149 Page 24 As Passed by the Senate Program participation, the beginning and ending dates of such 633 participation, and other information related to such 634 participation not made confidential under Member State law;
Adverse Action information pertaining to a 660 Licensee in any Member State will be available to any other 661 Member State.
Adverse Action information pertaining to a 660 Licensee in any Member State will be available to any other 661 Am.
662 Am.
149 Page 25 As Reported by the Senate Health Committee G.
149 Page 25 As Passed by the Senate Member State.
662 G.
If a majority of the legislatures of the Member States 686 rejects a Rule or portion of a Rule, by enactment of a statute 687 or resolution in the same manner used to adopt the Compact 688 within four (4) years of the date of adoption of the Rule, then 689 such Rule shall have no further force and effect in any Member 690 State.
If a majority of the legislatures of the Member States 686 rejects a Rule or portion of a Rule, by enactment of a statute 687 or resolution in the same manner used to adopt the Compact 688 within four (4) years of the date of adoption of the Rule, then 689 such Rule shall have no further force and effect in any Member 690 Am.
691 Am.
149 Page 26 As Reported by the Senate Health Committee E.
149 Page 26 As Passed by the Senate State.
691 E.
717 4.
717 Am.
A request for comments on the proposed Rule from any 718 Am.
149 Page 27 As Reported by the Senate Health Committee interested person;
149 Page 27 As Passed by the Senate 4.
A request for comments on the proposed Rule from any 718 interested person;
Upon determination that an emergency exists, the 745 Commission may consider and adopt an emergency Rule with twenty- 746 Am.
Upon determination that an emergency exists, the 745 Am.
149 Page 28 As Reported by the Senate Health Committee four (24) hours' notice, and with opportunity to comment, 747 provided that the usual rulemaking procedures provided in the 748 Compact and in this section shall be retroactively applied to 749 the Rule as soon as reasonably possible, in no event later than 750 ninety (90) days after the effective date of the Rule.
149 Page 28 As Passed by the Senate Commission may consider and adopt an emergency Rule with twenty- 746 four (24) hours' notice, and with opportunity to comment, 747 provided that the usual rulemaking procedures provided in the 748 Compact and in this section shall be retroactively applied to 749 the Rule as soon as reasonably possible, in no event later than 750 ninety (90) days after the effective date of the Rule.
No Member State's rulemaking process or procedural 774 requirements shall apply to the Commission.
No Member State's rulemaking process or procedural 774 Am.
775 Am.
149 Page 29 As Reported by the Senate Health Committee 1.
149 Page 29 As Passed by the Senate requirements shall apply to the Commission.
775 1.
Failure to 803 provide the Commission service of process shall render a 804 Am.
Failure to 803 Am.
149 Page 30 As Reported by the Senate Health Committee judgment or order void as to the Commission, this Compact, or 805 promulgated Rules.
149 Page 30 As Passed by the Senate provide the Commission service of process shall render a 804 judgment or order void as to the Commission, this Compact, or 805 promulgated Rules.
Notice of intent to suspend or terminate shall 828 be given by the Commission to the governor, the majority and 829 minority leaders of the defaulting State's legislature, the 830 defaulting State's Respiratory Therapy Licensing Authority and 831 each of the Member States' Respiratory Therapy Licensing 832 Authorities.
Notice of intent to suspend or terminate shall 828 be given by the Commission to the governor, the majority and 829 minority leaders of the defaulting State's legislature, the 830 defaulting State's Respiratory Therapy Licensing Authority and 831 each of the Member States' Respiratory Therapy Licensing 832 Am.
833 Am.
149 Page 31 As Reported by the Senate Health Committee E.
149 Page 31 As Passed by the Senate Authorities.
833 E.
861 J.
861 Am.
Enforcement 862 Am.
149 Page 32 As Reported by the Senate Health Committee 1.
149 Page 32 As Passed by the Senate J.
Enforcement 862 1.
The Compact shall come into effect on the date on which 890 the Compact statute is enacted into law in the seventh Member 891 State ("Effective Date").
The Compact shall come into effect on the date on which 890 Am.
892 Am.
149 Page 33 As Reported by the Senate Health Committee 1.
149 Page 33 As Passed by the Senate the Compact statute is enacted into law in the seventh Member 891 State ("Effective Date").
892 1.
919 4.
919 Am.
Any State that joins the Compact subsequent to the 920 Commission's initial adoption of the Rules and bylaws shall be 921 Am.
149 Page 34 As Reported by the Senate Health Committee subject to the Rules and bylaws as they exist on the date on 922 which the Compact becomes law in that State.
149 Page 34 As Passed by the Senate 4.
Any State that joins the Compact subsequent to the 920 Commission's initial adoption of the Rules and bylaws shall be 921 subject to the Rules and bylaws as they exist on the date on 922 which the Compact becomes law in that State.
Nothing contained in this Compact shall be construed to 946 invalidate or prevent any licensure agreement or other 947 cooperative arrangement between a Member State and a non-Member 948 State that does not conflict with the provisions of this 949 Compact.
Nothing contained in this Compact shall be construed to 946 invalidate or prevent any licensure agreement or other 947 cooperative arrangement between a Member State and a non-Member 948 Am.
950 Am.
149 Page 35 As Reported by the Senate Health Committee D.
149 Page 35 As Passed by the Senate State that does not conflict with the provisions of this 949 Compact.
950 D.
Otherwise, if this Compact 977 shall be held to be contrary to the constitution of any Member 978 State, the Compact shall remain in full force and effect as to 979 the remaining Member States and in full force and effect as to 980 Am.
Otherwise, if this Compact 977 Am.
149 Page 36 As Reported by the Senate Health Committee the Member State affected as to all severable matters.
149 Page 36 As Passed by the Senate shall be held to be contrary to the constitution of any Member 978 State, the Compact shall remain in full force and effect as to 979 the remaining Member States and in full force and effect as to 980 the Member State affected as to all severable matters.
1005 (B) Any individual who holds a compact privilege pursuant 1006 to the "Respiratory Care Interstate Compact" entered into under 1007 section 4761.20 of the Revised Code shall comply with sections 1008 Am.
1005 Am.
149 Page 37 As Reported by the Senate Health Committee 4776.01 to 4776.04 of the Revised Code within sixty days after 1009 receiving the compact privilege in this state, unless a criminal 1010 records check that meets equivalent requirements has already 1011 been completed by the individual's home state.
149 Page 37 As Passed by the Senate (B) Any individual who holds a compact privilege pursuant 1006 to the "Respiratory Care Interstate Compact" entered into under 1007 section 4761.20 of the Revised Code shall comply with sections 1008 4776.01 to 4776.04 of the Revised Code within sixty days after 1009 receiving the compact privilege in this state, unless a criminal 1010 records check that meets equivalent requirements has already 1011 been completed by the individual's home state.
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Action History

  1. As Passed by the Senate

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 133 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (133)

133 members have not signed on to this bill.

Show all 133 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed

Passed 33 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 24000
Democratic 9000
Total 33000
% of votes cast 100%0%0%0%
How each member voted (33)
Member Party Vote
Beth Liston Democratic Yea
Casey Weinstein Democratic Yea
Catherine D. Ingram Democratic Yea
Hearcel F. Craig Democratic Yea
Kent Smith Democratic Yea
Nickie J. Antonio Democratic Yea
Paula Hicks-Hudson Democratic Yea
William P. DeMora Democratic Yea
Willis E. Blackshear, Jr. Democratic Yea
Al Cutrona Republican Yea
Al Landis Republican Yea
Andrew O. Brenner Republican Yea
Bill Reineke Republican Yea
Brian M. Chavez Republican Yea
George F. Lang Republican Yea
Jane M. Timken Republican Yea
Jerry C. Cirino Republican Yea
Kristina D. Roegner Republican Yea
Kyle Koehler Republican Yea
Louis W. Blessing, III Republican Yea
Mark Romanchuk Republican Yea
Michele Reynolds Republican Yea
Nathan H. Manning Republican Yea
Rob McColley Republican Yea
Sandra O'Brien Republican Yea
Shane Wilkin Republican Yea
Stephen A. Huffman Republican Yea
Steve Wilson Republican Yea
Susan Manchester Republican Yea
Terry Johnson Republican Yea
Theresa Gavarone Republican Yea
Thomas F. Patton Republican Yea
Tim Schaffer Republican Yea

Official roll call →

Subjects

healthcare labor
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 149 do?
To enact sections 4761.20 and 4761.21 of the Revised Code to enter into the Respiratory Care Interstate Compact.
Who sponsors SB 149?
SB 149 is sponsored by Kristina D. Roegner (Republican).
What is the current status of SB 149?
This bill has passed the Senate. Introduced March 18, 2025. It now moves to the second chamber.
Where can I track SB 149?
Track SB 149 free on One Click Politics — get push/email alerts when it moves.

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